Individual
DR. LARRY J PACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
306 W 8TH ST, WELLINGTON, KS 67152-3923
(620) 326-3611
(620) 326-6939
Mailing address
306 W 8TH ST, WELLINGTON, KS 67152-3923
(620) 326-3611
(620) 326-6939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03212
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005486
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/29/2006
Last updated
11/08/2007
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